# Understanding the Mechanism and Preventing the Unique Neuropathology of Arginase Deficiency

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2021 · $341,250

## Abstract

Project Summary/Abstract
The overall goals of this project are to 1) investigate the etiology of the unique neuropathology associated with
arginase 1 (A1) deficiency, a disorder of the urea cycle, and 2) to extensively demonstrate that AAV-based
hepatic gene therapy is effective in preventing the features of this disorder as a prelude to a clinical trial. A1
deficiency results in chronic hyperargininemia characterized by progressive mental impairment, spasticity, and
growth retardation, with only periodic episodes of hyperammonemia. Recent and preliminary findings from our
laboratory with the A1-deficient mouse have demonstrated substantial anatomical, ultrastructural and electro-
physiological differences between knockouts and wild types. A1 deficiency led to decreased intrinsic excita-
bility, altered functional synaptic transmission, decreased dendritic arborization, dysmyelination and decreased
synaptic density. The most likely mechanism causing these neuronal abnormalities is hyperarginine- or guani-
dino compound-mediated dysfunction of neurons and oligodendrocytes. Controlling plasma arginine and guani-
dino compounds following administration of liver-specific AAV-based gene therapy resulted in much of these
measures being substantially improved. The finding abnormalities at the neuron, synapse, myelin, and circuit
level have begun to elucidate the functional deficits in A1 deficiency. The identification of the proximate toxin
and mechanism of neurodysfunction will open doors to potential pharmacological interventions for A1
deficiency in addition to gene therapy, and may open avenues to new therapies for other disorders where
dysmyelination is a feature. Preliminary data: Our research group has (amongst other findings): 1) constructed
and characterized the A1-deficient mouse; 2) demonstrated long-term survival with liver-specific recombinant
AAV; 3) demonstrated that only low-level ureagenesis is necessary for survival; 4) shown that gene therapy-
treated A1 knockout mice lack gross nervous system abnormalities; 5) shown that peripheral metabolism
results in control of circulating plasma arginine; and 6) shown that loss of A1 gene expression results in
abnormalities of intrinsic excitability, synapse type and number, myelination and the dendritic arbor of neurons.
In Aim 1, the hypothesis that oligodendrocyte dysfunction and death result in dysmyelination and is in part the
cause of neuronal dysfunction in A1 deficiency will be tested. In Aim 2, the hypothesis that elevated guanidino
compounds can induce alterations in intrinsic excitability and synaptic transmission that are similar to those
seen in A1 deficient animals will be tested. In Aim 3, it will be determined if A1 deficiency causes an imbalance
in excitation and inhibition, and if this inequality is mainly through effects on perisomatic inhibition. Completion
of these studies will provide a greater understanding of and the mechanism(s) behind the alterations in the
brain, neuron...

## Key facts

- **NIH application ID:** 10080755
- **Project number:** 5R01NS110596-03
- **Recipient organization:** UNIVERSITY OF CALIFORNIA LOS ANGELES
- **Principal Investigator:** Gerald S Lipshutz
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $341,250
- **Award type:** 5
- **Project period:** 2019-04-15 → 2023-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10080755

## Citation

> US National Institutes of Health, RePORTER application 10080755, Understanding the Mechanism and Preventing the Unique Neuropathology of Arginase Deficiency (5R01NS110596-03). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10080755. Licensed CC0.

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